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e-CliniC
Published by Universitas Sam Ratulangi
ISSN : 23375949     EISSN : -     DOI : -
Core Subject : Health,
Health Professions
Jurnal e-CliniC (eCl) diterbitkan oleh Perhimpunan Ahli Anatomi Indonesia bekerja sama dengan Fakultas Kedokteran Universitas Sam Ratulangi Manado. Jurnal ini diterbitkan 3 (tiga) kali setahun (Maret, Juli, dan November). Sejak tahun 2016 Jurnal e-CliniC diterbitkan 2 (dua) kali setahun (Juni dan Desember). Jurnal e-CliniC memuat artikel penelitian, telaah ilmiah, dan laporan kasus di bidang ilmu kedokteran klinik.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 39 Documents
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Search results for , issue "Vol. 12 No. 3 (2024): e-CliniC" : 39 Documents clear
Pengaruh Pemberian Bifosfonat terhadap Pasien dengan Fraktur Tulang Panjang Pasca Open Reduction Internal Fixation (ORIF) Ijong, Jessie I.; Sunaryo, Haryanto; Rawung, Rangga
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.49019

Abstract

Abstract: Clinical, radiographic, and laboratory tests can be used to evaluate bone healing of fractured bone. This study aimed to analyze the impact of bisphosphonate medication on the prognosis of patients receiving open reduction internal fixation (ORIF) for long bone fractures. This was a randomized controlled trial study. Information was gathered prospectively, meaning that osteocalcin level was checked on each patient who fulfilled the study's eligibility requirements. The non-parametric Mann-Whitney test or the bivariate T test was the employed statistical test. Linear regression test was applied to multiple variables. The results showed that the average age of men and women was 36 years, with a 6:4 gender ratio. Patients were divided into two groups, namely the bisphosphonate and the control groups The average pre-ORIF osteocalcin level was 12 ng/mL. In comparison to controls, patients taking oral bisphosphonates had a slightly higher mean (12.9 vs 11.5 ng/mL; p=0.017). This difference maintained following ORIF, when the mean osteocalcin level in the bisphosphonate group increased to roughly 20 ng/mL whereas it was only 16 ng/mL in the control group (p=0.002). The callus index of the patients pre-ORIF did not significantly differ from the mediolateral or anteroposterior aspects. After ORIF, differences started to be noticed where both methods of measuring the callus index produced identical results for patients on oral bisphosphonates (median 1.2) and controls (median 1.1). In conclusion, administration of sodium bisphosphonate has an influence on patients experiencing long bone fractures and open reduction internal fixation (ORIF). Keywords: long bone fracture; osteocalcin; callus; bisphosphonate   Abstrak: Penyembuhan tulang (union) dapat dinilai dari pemeriksaan klinis, radiologis, dan laboratorium. Penelitian ini bertujuan untuk mengevaluasi pengaruh pemberian bifosfonat terhadap luaran pasien fraktur tulang panjang pasca open reduction internal fixation (ORIF). Jenis penelitian ialah studi randomized controlled trial. Informasi dikumpulkan secara prospektif, yaitu setiap pasien yang memenuhi kriteria penelitian diambil datanya dan diperiksa kadar osteokalsin. Uji bivariat yang digunakan ialah uji T atau uji non parametrik Mann–Whitney, serta uji multivariat menggunakan regresi linear. Hasil penelitian mendapatkan rasio laki-laki : perempuan sebesar 6:4 dengan rerata usia 36 tahun, yang dibagi atas kelompok bifosfonat dan kelompok kontrol.  Kadar osteokalsin pra ORIF secara umum sekitar 12 ng/mL. Nilai rerata tersebut sedikit lebih tinggi pada kelonmpok bifosfonat dibandingkan kontrol (12,9 vs 11,5 ng/mL; p = 0,017). Perbedaan tersebut terus bertahan pasca ORIF di mana rerata kadar osteokalsin mencapai sekitar 20 ng/mL pada kelompok bifosfonat sedangkan kontrol 16 ng/mL (p=0,002). Indeks kalus para pasien sampel pra ORIF relatif tidak berbeda baik dilihat dari aspektus anteroposterior maupun mediolateral. Perbedaan mulai terdeteksi pasca ORIF di mana kedua pendekatan penilaian indeks kalus tersebut memberikan hasil yang sama untuk pasien dengan bifosfonat oral (median 1,2) maupun kontrol (median 1,1). Simpulan penelitian ini ialah pemberian natrium bifosfonat memiliki pengaruh terhadap pasien fraktur tulang panjang dengan open reduction internal fixation (ORIF). Kata kunci: fraktur tulang panjang; osteokalsin; kalus; bifosfonat
Development and Validation of a Scoring System for Predicting Complications of Pancreatitis in Patients with Post Endoscopic Retrograde Cholangiopancreatography Melatunan, Leonard A.; Mambu, Toar D. B.; Tendean, Michael; Langi, Fredrik G. L.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.51815

Abstract

Abstract: Post ERCP pancreatitis (PEP) is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP) with significant morbidity and mortality rates. Several factors are associated with the occurrence of PEP. There are several methods available to predict such complications, however, they are not yet valid and need some improvement. This study aimed to obtain a scoring system to predict the incidence of post ERCP pancreatitis. This was a retrospective study using medical records of patients who underwent ERCP at Prof. Dr. R. D. Kandou Hospital from 2017 to 2023. The results obtained 372 patients as samples. Gender, previous history of ERCP, cannulation attempt ≥5 times, pancreatogram, double wire technique, EPBD, and pancreatic duct stent failure were independently associated with PEP and included in the model, which achieved AUC 96.7%, sensitivity 95.0% and specificity 89.8%. In conclusion, a predictive scoring system to assess the incidence of post ERCP pancreatitis (PEP) using seven risk factors related to patient, procedure, operator, and technique is used to aid early identification of PEP and therapeutic intervention. This scoring system is simple and easy to use, and has high area under curve (AUC), sensitivity, and specificity. Keywords: endoscopic retrograde cholangiopancreatography (ERCP); post ERCP pancreatitis; scoring system
Fraktur Komunitif Angulus – Korpus Mandibula dengan Pemasangan Titanium Miniplate dan Srew: Laporan Kasus Sitompul, Riston R.; Lumintang, Nico; Tandililing, Sherly
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.51821

Abstract

Abstract: Communitive fracture of the mandible is quite complicated to achieve good results with the use of titanium miniplates and screws. The challenges faced start from tips and tricks for placing non-rigid miniplate and screw fixation. There are two methods in performing mandibular communitive fracture surgery, namely closed reduction and open reduction. We reported a case of a 19-year-old male referred to Prof. Dr. R. Kandou Hospital, Manado, with open right mandible fracture. The patient was diagnosed with mild head injury, cerebral edema, skull base fracture, communitive fracture of mandibular angulus and corpus, non-displaced maxillary zygoma fracture, and palatal dental sagittal fracture. The patient underwent open reduction surgery with internal fixation using titanium miniplates and screws, and was re-evaluated in the first week after surgery up to three weeks after surgery. The patient's functional chewing and mouth opening were within normal limits. There were no complications such as infection or nerve lesions. In conclusion, communitive mandibular fracture using an open reduction technique with titanium miniplate and screw internal fixation gives satisfactory result. Keywords: communitive mandibular fracture; open reduction; dental occlusion   Abstrak: Fraktur komunitif mandibula merupakan kasus yang cukup rumit untuk mencapai hasil yang baik dengan penggunaan titanium miniplate dan screw. Tantangan yang dihadapi mulai dari tips dan trik penempatan fiksasi miniplate dan screw yang tidak rigid. Terdapat dua metode dalam melakukan operasi fraktur komunitif mandibula, yaitu reduksi tertutup dan reduksi terbuka. Kami melaporkan kasus seorang laki-laki 19 tahun dirujuk ke RSUP Prof. Dr. R. Kandou, Manado dengan patah tulang dagu kanan terbuka. Pasien didiagnosis dengan cedera kepala ringan, edema serebri, fraktur basis krani, fraktur angulus - korpus mandibula dekstra komunitif, fraktur zigoma pars maksilaris dekstra non-displaced, dan fraktur sagital dental palatal. Pasien dilakukan operasi reduksi terbuka dengan fiksasi internal. Evaluasi dilakukan pada minggu pertama paska operasi, hingga tiga minggu paska operasi. Didapatkan fungsional mengunyah dan membuka mulut pasien ini dalam batas normal, serta tidak didapatkan komplikasi seperti infeksi maupun lesi saraf. Simpulan kasus ini ialah fraktur mandibula komunitif dengan teknik reduksi terbuka dan fiksasi internal titanium miniplate dan screw memberikan hasil yang memuaskan. Kata kunci: fraktur mandibula komunitif; reduksi terbuka; oklusi dental
Gambaran Ultrasonografi Ginjal pada Penderita Penyakit Ginjal Kronis dengan Nefrolitiasis di RSUP Prof. Dr. R. D. Kandou Periode Juli 2022 hingga Juli 2023 Tombokan, Natalie G. E.; Rondo, Alfa G. E. Y.; Simanjuntak, Martin L.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53393

Abstract

Abstract: Globally, chronic kidney disease (CKD) prevalence and mortality rate has increased in the past 27 years. One of the intrinsic etiologies of CKD is nephrolithiasis, making renal ultrasonography important for diagnosis. This study aimed to investigate the overview of renal ultrasonography in CKD patients with nephrolithiasis at Prof. Dr. R. D. Kandou Hospital. This was a retrospective and descriptive study with a cross-sectional design using secondary data in the form of medical records of CKD patients with nephrolithiasis who were performed renal ultrasonography at Prof. Dr. R. D. Kandou Hospital from July 2022 to July 2023 with the total sampling method. The results showed that from 76 patients analyzed, the predominance was found in 56-65 years old (36.8%), male (69.7%), 3rd severity grade of CKD (72.4%), and patients who did not undergo routine hemodialysis (61.8%). Most renal ultrasonography characteristics were normal size (61.8%), increased parenchymal echogenicity (84.2%), thinned cortex (52.6%), blurred corticomedullary echogenicity differentiation (77.6%), normal pelviocalyceal system (78.3%), and there were stones (62.5%) <1 cm in size (35.5%) in the medius pole of the right kidney (30.3%) and the inferior pole of the left kidney (40.8%). In conclusion, CKD patients with nephrolithiasis were predominantly aged 56-65 years, male, classified as 3rd severity grade of CKD, and did not undergo routine hemodialysis. Keywords: chronic kidney disease; nephrolithiasis; renal ultrasonography   Abstrak: Secara global, prevalensi penyakit ginjal kronis (PGK) dan angka kematian meningkat dalam kurun waktu 27 tahun terakhir. Salah satu etiologi intrinsik PGK ialah nefrolitiasis. Pemeriksaan ultrasonografi (USG) ginjal penting dilakukan untuk mendiagnosis penyakit ini. Penelitian ini bertujuan untuk mengetahui gambaran USG ginjal pada penderita PGK dengan nefrolitiasis di RSUP Prof. Dr. R. D. Kandou. Penelitian ini bersifat deskriptif retrospektif dengan desain potong lintang menggunakan data sekunder berupa rekam medis pasien PGK dengan nefrolitiasis yang melakukan pemeriksaan USG ginjal di RSUP Prof. Dr. R. D. Kandou pada Juli 2022 hingga Juli 2023 dengan metode total sampling. Hasil penelitian mendapatkan 76 pasien PGK sebagai sampel yang didominasi kelompok usia 56−65 tahun (36,8%), jenis kelamin laki-laki (69,7%), pasien yang tidak menjalani hemodialisis rutin (61,8%), dan derajat keparahan 3 (72,4%). Gambaran USG ginjal didominasi oleh ukuran normal (61,8%), ekogenisitas parenkim meningkat (84,2%), korteks menipis (52,6%), batas ekogenisitas kortikomedular mengabur (77,6%), sistem pelviokalises normal (78,3%), dan terdapat batu (62,5%) berukuran <1 cm (35,5%) di pole medius pada ginjal kanan (30,3%) dan pole inferior pada ginjal kiri (40,8%). Simpulan penelitian ini adalah penderita PGK dengan nefrolitiasis didominasi oleh kelompok usia 56−65 tahun, laki-laki, derajat keparahan 3, dan tidak menjalani hemodialisis rutin. Kata kunci: nefrolitiasis; penyakit ginjal kronis; ultrasonografi ginjal
Gambaran Ultrasonografi Ginjal pada Penderita Penyakit Ginjal Kronis dengan Hipertensi di RSUP Prof. Dr. R. D. Kandou Periode Juli 2022 – Juli 2023 Rori, Beatrix A. N.; Mamesah, Yovana P. M.; Timban, Joan F. J.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53469

Abstract

Abstract: Chronic kidney disease (CKD) has become a serious health issue and is one of the leading causes of death worldwide. Hypertension is one of the common underlying causes and comorbidities of CKD. Prolonged hypertension can worsen kidney function and lead to CKD. This study aimed to obtain an overview of renal ultrasonography in CKD patients with hypertension at Prof. Dr. R. D. Kandou Hospital from July 2022 to July 2023. This was a retrospective and descriptive study with a cross-sectional design using secondary data in the form of patient medical records. The results showed that from 80 CKD patients with hypertension, the highest percentages were in age group over 65 years (37.5%), male (53.8%), and did not undergo hemodialysis (61.3%). The predominant severity level was stage 2 with the most common features found were normal size, increased parenchymal echogenicity, normal cortical thickness, maintained corticomedullary differentiation, normal pelviocalyceal systems, and renal cyst findings. In conclusion, the majority of CKD patients with hypertension were males, aged over 65 years, did not undergo hemodialysis, and in the severity level of grade 2. Keywords: ultrasonography; chronic kidney disease; hypertension   Abstrak: Penyakit ginjal kronis (PGK) menjadi permasalahan kesehatan yang serius dan merupakan salah satu penyebab utama kematian di seluruh dunia. Hipertensi merupakan salah satu penyebab dan juga penyakit penyerta yang paling umum dari PGK. Hipertensi berkelanjutan dapat menyebabkan fungsi ginjal memburuk dan berujung pada PGK. Penelitian ini bertujuan untuk mengetahui gambaran ultrasonografi (USG) ginjal pada penderita PGK dengan hipertensi di RSUP Prof. Dr. R. D. Kandou periode Juli 2022 – Juli 2023. Penelitian ini menggunakan metode deskriptif retrospektif dengan desain potong lintang yang menggunakan data sekunder berupa rekam medik pasien. Hasil penelitian mendapatkan 80 pasien PGK dengan hipertensi di RSUP Prof. Dr. R. D. Kandou, didominasi oleh kelompok usia di atas 65 tahun (37,5%), jenis kelamin laki-laki (53,8%), dan yang tidak menjalani tindakan hemodialisis (61,3%). Derajat keparahan terbanyak yaitu derajat 2 dengan karakteristik gambaran USG yang paling sering yaitu ukuran normal, ekogenisitas parenkim meningkat, ketebalan korteks normal, batas echo korteks medula jelas, sistem pelviokalises normal, dan temuan kista. Simpulan penelitian ini ialah mayoritas pasien PGK dengan hipertensi ialah laki-laki, usia di atas 65 tahun, tidak melakukan hemodialisis. serta keparahan derajat 2. Kata kunci: ultrasonografi; penyakit ginjal kronis; hipertensi
Prevalensi Kelainan Refraksi pada Anak Remaja Kelas X di SMA Rex Mundi Manado Putri, Angeline J.; Umboh, Anne M. S.; Najoan, Imelda H. M.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53529

Abstract

Abstract: Uncorrected refractive errors are a leading cause of vision impairment across all age groups. In Indonesia, adolescents aged 15-18 years face the risk of eye health issues due to excessive use of electronic devices, particularly during the COVID-19 pandemic. This study aimed to obtain the prevalence of refractive errors among adolescents. This was a quantitative and descriptive study using a cross-sectional design. Subjects were tenth-grade students at SMA Rex Mundi Manado. selected through total sampling. The results showed that there were 225 subjects who underwent refractive error screening and met the inclusion criteria. Out of 225 subjects, 176 had emmetropia (normal vision) and 49 had ametropia (refractive errors). The most common type of refractive error was astigmatism, followed by myopia; no subjects had hyperopia. In conclusion, the majority of tenth-grade adolescents have normal vision (emmetropia). Among all subjects, astigmatism is the most prevalent refractive error, followed by myopia. Keywords: refractive errors; myopia; astigmatism; adolescents    Abstrak: Kelainan refraksi yang tidak terkoreksi menjadi penyebab utama gangguan penglihatan pada semua kelompok usia. Di Indonesia, remaja usia 15-18 tahun menghadapi risiko kesehatan mata akibat penggunaan perangkat elektronik berlebihan, terutama selama masa pandemi COVID-19. Penelitian ini bertujuan untuk untuk mengetahui prevalensi kelainan refraksi pada anak remaja. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan desain potong lintang. Subjek penelitian ini diambil dengan total sampling yaitu siswa kelas X di SMA Rex Mundi Manado yang mengikuti skrining kelainan refraksi dan memenuhi kriteria inklusi, yaitu sebesar 225 responden. Hasil penelitian mendapatkan sebanyak 176 siswa dengan emetropia dan 49 siswa ametropia. Jenis kelainan refraksi terbanyak ialah astigmatisme, diikuti dengan miopia ringan; tidak didapatkan siswa yang mengalami hipermetropia. Simpulan penelitian ini ialah mayoritas remaja kelas X memiliki status refraksi emetropia. Di antara seluruh subjek penelitian, prevalensi kelainan refraksi terbanyak ialah astigmatisme, diikuti dengan miopia ringan Kata kunci: kelainan refraksi; miopia; astigmatisme; remaja
Identifikasi Pola Bakteri dan Uji Sensitivitas Antibiotik di Poli Infeksi dan Imunologi Rumah Sakit Mata Provinsi Sulawesi Utara Matandung, Lewis F.; Rares, Fredine E. S.; Waworuntu, Olivia A.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53539

Abstract

Abstract: Infections that occur in hospitals can be caused by bacteria, viruses, and fungi. Infections that occur in hospitals in less than 48-72 hours after the patient is admitted to the hospital are called Healthcare Associated Infections (HAIs) or commonly known as nosocomial infections. Transmission of nosocomial infections is usually through direct contact, droplets, and through health workers in the hospital, as well as through tools or media in the hospital. This study aimed to determine bacterial patterns and sensitivity tests in the infection and immunology poly of the North Sulawesi Provincial Eye Hospital. This was an observational and descriptive study with a cross-sectional design to identify bacterial patterns and sensitivity tests in the infection and immunology poly of the North Sulawesi Provincial Eye Hospital. The collection of 10 samples was carried out in the poly infection and immunology. The results obtained four types of bacteria, namely: Staphylococcus sp, Staphylococcus aureus, Bacillus sp, and Streptococcus sp. In conclusion, the four types of bacteria are sensitive to meropenem and resistant to erythromycin. Keywords: nosocomial infection; bacterial identification; sensitivity test   Abstrak: Infeksi yang terjadi di rumah sakit dapat disebabkan oleh bakteri, virus, dan jamur. Infeksi yang terjadi di rumah sakit dalam waktu kurang dari 48-72 jam setelah pasien dirawat ke rumah sakit disebut Healthcare Associated Infection (HAIs) atau biasa dikenal dengan sebutan infeksi nosokomial. Penularan infeksi nosokomial biasanya melalui kontak langsung, droplet, dan melalui tenaga Kesehatan yang ada di rumah sakit, serta melalui alat-alat atau media di rumah sakit. Penelitian ini bertujuan untuk mengetahui pola bakteri dan uji sensitivitas di poli infeksi dan imunologi Rumah Sakit Mata Provinsi Sulawesi Utara. Penelitian ini menggunakan metode deskriptif observasional dengan desain potong lintang untuk mengidentifikasi pola bakteri dan uji sensitivitas di poli infeksi dan imunologi Rumah Sakit Mata Provinsi Sulawesi Utara. Pengambilan 10 sampel dilakukan di poli infeksi dan imunologi. Hasil penelitian mendapatkan empat jenis bakteri yaitu: Staphylococcus sp, Staphylococcus aureus, Bacillus sp, dan Streptococcus sp. Simpulan penelitian ini ialah keempat bakteri ini sensitif dengan meropenem dan resisten dengan erythromycin. Kata kunci:  infeksi nosokomial; identifikasi bakteri; uji sensitivitas
Karakteristik Pasien Operasi Tonsilektomi di RSUP Prof Dr. R. D. Kandou Manado Periode Januari 2020 – Oktober 2023 Kelly, Grace; Najoan, Rizki R.; Mengko, Steward K.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53540

Abstract

Abstract: Chronic tonsillitis is a recurrent inflammation of the tonsils that can affect the patient’s quality of life. Tonsillectomy is the surgical removal of the palatine tonsil and its capsule, which is performed according to indications and the Paradise criteria. This study aimed to obtain the characteristics of patients who underwent tonsillectomy at Prof. Dr. R. D. Kandou Hospital Manado from January 2020 to October 2023. This was a descriptive and retrospective study with a cross-sectional design. The results obtained a total population of 66 patients who underwent tonsillectomy surgery from January 2020 – October 2023, however, only 57 patients who met the inclusion and exclusion criteria. Patients undergoing tonsillectomy were dominated by the teenager age group, 12-25 years (70.2%), male gender (50.9%), students (33.3%), the main complaint was recurrent painful swallowing (45.6%), tonsil size T3-T3 (29.8%), treated for 3-5 days (73.7%), and complication of painful swallowing (91.2%). In conclusion, the characteristics of patients who underwent tonsillectomy surgery were in age range of 12-25 years, male gender, occupation as student, main complaint as history of recurrent painful swallowing, had tonsil size T3-T3, length of hospitalization of 3-5 days, and complication of painful swallowing. Keywords: tonsilitis; tonsillectomy; characteristics of patients   Abstrak: Tonsilitis kronis merupakan radang pada tonsil yang terjadi berulang sehingga dapat berdampak pada kualitas hidup pasien. Tonsilektomi merupakan tindakan pembedahan dengan mengangkat tonsil palatina secara menyeluruh beserta kapsulnya sesuai indikasi dan kriteria Paradise. Penelitian ini bertujuan untuk mendapatkan karakteristik pasien yang menjalani tonsilektomi di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2020 hingga Oktober 2023. Jenis penelitian ialah retrospektif deskriptif dengan desain potong lintang. Hasil penelitian mendapatkan sebanyak 66 pasien yang menjalani tonsilektomi periode Januari 2020 – Oktober 2023; 57 pasien yang memenuhi kriteria inklusi dan eksklusi. Distribusi pasien yang menjalani operasi tonsilektomi didominasi oleh golongan usia remaja yaitu 12-25 (70,2%), jenis kelamin (50,9%), pekerjaan pelajar/mahasiswa (33,3%), keluhan utama riwayat nyeri menelan berulang (45,6%), ukuran tonsil T3-T3 (29,8%), dirawat inap 3-5 hari (73,7%), dan komplikasi nyeri menelan (91,2%). Simpulan penelitian ini ialah karakteristik pasien yang menjalani operasi tonsilektomi ialah rentang usia 12-25 tahun, jenis kelamin laki-laki, pekerjaan sebagai pelajar/mahasiswa, dengan keluhan utama berupa riwayat nyeri menelan berulang, ukuran tonsil T3-T3, lama hari dirawat di rentang 3-5 hari, dan memiliki komplikasi nyeri menelan. Kata kunci: tonsilitis; tonsilektomi; karakteristik pasien
Identifikasi Pola Bakteri dan Uji Sensitivitas Antibiotik di Ruang Intensive Care Unit RSU GMIM Pancaran Kasih Manado Togas, Bellanty C.; Homenta, Heriyannis; Rares, Fredine E. S.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53546

Abstract

Abstract: Nosocomial infections or Healthcare Associated Infections (HAIs) are infections acquired during the process of receiving health care in hospitals, which appear within >48 hours. Patients in the Intensive Care Unit (ICU) are twice as likely to contract nosocomial infections compared to the general hospital population, with a fairly high and increasing burden of antimicrobial resistance. This study aimed to identify bacterial patterns and antibiotic sensitivity tests of bacteria in the ICU of RSU GMIM Pancaran Kasih Manado. This was a descriptive study with a cross sectional design. Bacterial pattern identification was performed on 10 samples, then samples were cultured in nutrient agar and Mac Conkey at the Laboratorium Mikrobiologi Fakultas Kedokteran Universitas Sam Ratulangi. Identification of bacteria was conducted using the Gram stain. The results obtained Bacillus sp. (42%); Staphylococcus sp. (33%); Neisseria sp. (17%); and Staphylococcus aureus (8%). All bacteria were sensitive to amikacin, and nearly all of them were resistant to ceftriazone except Bacillus sp and Staphylococcus sp. In conclusion, the most common bacteria at the Intensive Care Unit of RSU GMIM Pancaran Kasih Manado is Bacillus sp. which is sensitive to amikacin and meropenem, but it is resistant to ampicilin. Keywords: bacterial pattern; nosocomial infection; antibiotic sensitivity test   Abstrak: Infeksi nosokomial (Healtcare Associated Infections - HAIs) adalah infeksi yang diperoleh selama proses menerima perawatan kesehatan di rumah sakit, yang muncul dalam waktu >48 jam. Pasien di Intensive Care Unit (ICU) dua kali lebih berisiko tertular infeksi nosokomial dibandingkan dengan populasi rumah sakit umumnya dengan beban resistensi antimikroba di ICU yang cukup tinggi dan terus meningkat. Penelitian ini bertujuan untuk mengidentifikasi pola bakteri yang ditemukan dan uji sensitivitas antibiotik pada bakteri di ruang ICU RSU GMIM Pancaran Kasih Manado. Penelitian ini menggunakan metode deskriptif dan desain potong lintang. Identifikasi pola bakteri dilakukan pada 10 sampel, kemudian dikultur menggunakan nutrient agar dan Mac Conkey di Laboratorium Mikrobiologi Fakultas Kedokteran Universitas Sam Ratulangi, dan identifikasi bakteri dengan pewarnaan Gram. Hasil penelitian mendapatkan bakteri Bacillus sp. (42%); Staphylococcus sp. (33%); Neisseria sp. (17%); serta Staphylococcus aureus (8%). Semua bakteri sensitif terhadap antibiotik amikacin dan hampir semua bakteri resisten terhadap antibiotik ceftriazone kecuali Bacillus sp dan Staphylococcus sp. Simpulan penelitian ini yaitu bakteri terbanyak yang ditemukan di Ruang ICU ialah Bacillus sp. yang sensitif terhadap amikacin dan meropenem, namun resisten terhadap ampicilin. Kata kunci: pola bakteril infeksi nosokomiall; uji kepekaan antibiotik
Profil Pasien Cedera Anterior Cruciate Ligament (ACL) yang Menjalani Rekonstruksi ACL di RSUP Prof. Dr. R. D. Kandou Manado Rawung, Rangga B. V.; Meylia, Indah; Wagiu, Angelica M. J.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53583

Abstract

Abstract: Knee injuries are among the most common sports-related injuries experienced by athletes. One of the frequently encountered knee injury is anterior cruciate ligament (ACL) tear. This study aimed to obtain the profile of patients with ACL injuries whor underwent ACL reconstruction at Prof. Dr. R. D. Kandou Hospital, Manado. This was a descriptive study with a retrospective-prospective method, using secondary data. The results obtained 16 patients who met the inclusion criteria. The incidence of ACL injuries was the highest in males (81.25%) aged 17-25 years (68.75%). The most common cause of ACL injuries was sports activities (81.25%), and many patients were classified as having first-degree obesity (37.5%). ACL injuries often occurred with meniscal injuries (56.25%). The most commonly used graft was the Hamstring (semi T) graft (43.75%). Patients typically presented within 1-6 months of the injury onset (68.75%), and the majority of knee functional outcomes were categorized as moderate (43.75%). In conclusion,  anterior cruciate ligament injuries most often occur in men, aged 17-25 years. Sports activities and obesity are more at risk of ACL injury. Most ACL injuries are associated with meniscus injuries, and onsets of 1-6 months. The operative management graft that is often used is the Hamstring graft, with functional results in the middle category. Keywords: anterior cruciate ligament injury; reconstruction; graft operative management    Abstrak: Cedera lutut merupakan salah satu cedera olahraga yang paling banyak dialami oleh atlet; salah satunya yang sering dijumpai ialah robekan anterior cruciate ligament (ACL). Penelitian ini bertujuan untuk mengetahui profil pasien cedera ACL yang menjalani rekonstruksi ACL di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif dengan pendekatan retrospektif prospektif menggunakan data sekunder. Hasil penelitian mendapatkan 16 pasien yang memenuhi kriteria inklusi. Insiden cedera ACL paling banyak terjadi pada laki-laki (81,25%), kelompok usia 17-25 tahun (68,75%), penyebab cedera karena aktivitas olahraga (81,25%), dan pasien kategori obesitas derajat 1 (37,5%). ACL sering terjadi dengan adanya cedera meniskus (56,25%), graft yang paling sering digunakan yaitu graft Hamstring (semi T) (43,75%). Sebagian besar pasien datang dengan onset kejadian 1-6 bulan (68,75%) dengan hasil fungsional lutut kategori menengah (43,75%). Simpulan penelitian ini ialah cedera ACL sering terjadi pada laki-laki berusia 17-25 tahun. Aktivitas olahraga dan obesitas berisiko terjadinya cedera ACL. Mayoritas cedera ACL berhubungan dengan cedera meniskus, onset sebagian besar pasien cedera ACL ialah 1-6 bulan, penatalaksanaan operatif dengan graft Hamstring, dengan luaran hasil fungsional kategori sedang. Kata kunci: cedera anterior cruciate ligament; rekonstruksi; graft penatalaksanaan operatif

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